Title Page
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Site conducted
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Doc. No.:
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Conducted on
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Prepared by
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Location
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Is er een LOTO station aanwezig?<br>Do you have a LOTO station?
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Go to this station
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Are there any LOTO activities? (this can be seen in the register = mandatory)
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Make a picture of the register
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Go to the machine where the activities are in progress
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Make a picture of all padlocks incl tag
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Is the LOTO according to the scheme/procedure?
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well done, check however the LOTO itself, is it complete, are all energy sources disconnected/not active (check the padlock positions and valves/switches). Is the LOTO according to your own standard?
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Stop the activities!
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Inform the responsible manager
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Let the responsible manager improve the situation and let the responsible manager reply to you with the actions taken.
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Write a red card/hazard report
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Approve the situation together with the responsible manager. Take action for the next time.
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Both the responsible manager and you sign of
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Very good. sign of this report
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Stop the activities immediately
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Ask for the reason not to follow the procedure
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Send this information to the responsible manager
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Discuss your finding with the reponsible manager
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Write a red card/hazard report
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Approve the situation together with the responsible manager. Take action for the next time.
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Both the responsible manager and you sign of the proposed actions
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There are no LOTO activities according to the register. Do a fysical check on situations that needs LOTO. Are there activities that needs LOTO?
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The situation is propably under control however you do not have any evidence (yet). You can close this check.
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First: Stop the activities
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Ask for the reason not to follow the procedure
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Send this information to the responsible manager, let the manager take the appropiate action to improve the situation
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Discuss your finding with the reponsible manager
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Write a hazard report/red card
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Approve the situation together with the responsible manager. Take action for the next time.
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Both the responsible manager and you sign of
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Prepare a LOTO station, ask you regional EHS manager to support.
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Do you have any system in place to monitor LOTO activies?
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Prepare as soon as possible, ask you regional EHS for the available documentation. In the mean time you have to monitor what is going on with the machinery and stored energy.
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Sign of and seek contact with your regional EHS manager.
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Think about following the Berry system, ask your regional EHS manager to support you.
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Are there any LOTO activities?
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Go to the machine where the activities are in progress,
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Make (a) picture(s) of all padlocks incl tag
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Is the LOTO according to the scheme/procedure?
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well done, check however on the LOTO itself, is it complete, are all energy sources disconnected/not active
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First: Stop the activities
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Ask for the reason not to follow the procedure
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Send this information to the responsible manager
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Discuss your finding with the reponsible manager
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Write a hazard report/red card
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Approve the situation together with the responsible manager. Take action for the next time.
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Both the responsible manager and you sign of
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Propably everything is under control. Check next time
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sign of this report
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Sign of the full report